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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS owNr,:ra BtJtr,D[n Dut,cAt ATtoN
<br />I lEEhy lrfrn ufrLr p.nlhy of p.rJud rhd I m.r.mpr lEn! rll (-odBl6' tr.@ l.* fq tlE folt u8l Ers (Sd.7011 J
<br />lrurin.( .rn Prdfcsi,n (',!&): Any Ciy o' C{dv *hrh r.au'Ei . Fd ro mnid, drd. i'npr.E d.mlrh or Et'.u my
<br />ttue, Fr,r ro iB nsrE. ir! cqrn r rlE T!Lr, fr lNh rEn ro lib ! siSEd .rdftnr rld h. or rt 6 lEns./ puErd
<br />o rlE lFvisi,rd.l rtr Contr-rtr'r l-i..rcd lru lctlprn 9. Comm.ncihl *nh Sdhn 7fiIr.a l)ivnbn I olilr Auirc!..d
<br />Pr,t sDD! Cod.rorrhi lror dE s ei.ry'r tlEctun.d rh. h.r! l rrE rlkrr!.r.qrbn i! vr,bt..ofsdD.70ll5byrny
<br />opplicrnr fdr r Fmi rbFk rll +pli{d ro rciv'lFEhyotmr dr ih.r fiv. hurlEd.lollar (l5lx))
<br />-1.
<br />!s owncrolth. FoFny..r my.mpLF.r *nh *.9.. d rhct $l mn!.nrltirn, *rll d. rt w* rn th. nME B d
<br />or.rilal or oII.Ed lor sL (Sd.nsl. AurE3r rnd Pln(srlB Cal.: TIE Codr&or'1 Lr.iE L* itB d !epl, ro D ow o,
<br />rtr FIsy *lll hul4! q uqreh rh.rq !d whl d( ut $rl hin&ll lr.Elf n rkou3h hir r h.r o*n..,l)lorr.!.
<br />F.yid.d rh.r s.h in{FErdr E Dt ,!.!ncd or .tf.rd lm sh lr. ho*.v(. rlr t{rldh3 or !t!r.Erd n sU *th. or Fr
<br />of $E{'kBrn, th. (}wE BuilitE*,t!lu€tuhnlrofFovDSlhdlEtr{EJildb r in+or tlE F{di, n lll F,FBor
<br />_1, 6 oun.r of rh. Fnp.ny, .n .rclu*iy.ly Ndrsri.3 *lG t&tr{rl coturrm b NnrE ill FFr rsa ?O*a. EuliB
<br />r lt,&sncqL. TlECoddoal Li..nr t w.kE n, n'rl,h d0*6 ofp.or*nyelD hoilllro. inlltn'Er rh.Knr
<br />.nd vhr odrdrf ruchF,iE6 qirh r codru(r lk.tr*d t'!^d ro rrE odftroar lse L.w)
<br />1 .m.x.f,fl udLr Sdion .B rtPC ri,rh! Ets
<br />!!.!t-ElirLlt g)lrf l,l,11t!):DI(I1AjI0!
<br />I h.rrh!rrrlnotr,rdn trrrryil,p(Nry.n.! rh.n,lL,\,nf rr.(r.trrkin\
<br />-l
<br />h.r .rl ull mmrM . cd,frdc of coMd ro s.r-lNE n, wrtidi (t'n{rr&ri)G !3 Fovid..l for lry S.lriotr l7m o, rlr
<br />bhn Oxl.. Ior rlE Fr(or r. oI llE *oti nr vhth rtl Fnir il i$ocd
<br />-l
<br />h.E.Bi witl md.r k)ltld (np.Mrs. insuEN. .r EquiFd hy Ssrior l70o of rlE llbor CuL, for rtE pdfdllltr. ol
<br />rh. qdl tir wtu [ rhit p.m( ! sr&J My *o*di tur{ltudon murd. Mi.r !n lEky nlmlxr r.
<br />Policy Numha:-tlpi6
<br />_l dify !h, in rh. Fiorllre ofrh. rorl Id wlrich rhn Fhi n il$.d, Lhrl tutr.rmLy sy p.tron in by NnB
<br />o .rh t !-m rul'ld b rh. $d6 or!.ndFn l.{. .f C.hlomr .r]d r€r rhi ilt rtnuld L$r uhF e tlt
<br />wlt6 @qrMrMpDy6DBolsarrn rr@orth. t t!. (t{.,I iElL fdtunhNfldy enndw F!BbB.
<br />\ryAXNINC Fxls ro ffi rdtn 6.Fdbn 6Eht i! unlrwtuL .rld rhrl {brd M.npbF ro min l FDIE.!d
<br />civil lie\ up b o& hutolGd rhowDd dollrs (tllxlulD, 'i uld hn ro rh. 6n ol conlEBrtioi. d.mt.r s F$vn d ro. lh.
<br />S..r ion 10?6 of rlE trlrn cod.. 6r@, !n l d! y.r f.-
<br />lbt :- Applic.nll
<br />ulxlIrugaNrxalfua
<br />IIEqIJSd.II!2B
<br />I h.rby rt'n und.r D.uhynln rJurv rh|t I.m l{ctrv<l undcr |,trvsl)nor Ch{rs r){c.'ndE_ii8 rirh S.dbn 7m,,.r r)nrsi I
<br />ol rhr B!ro.$ md Pn)f.siod\ Codc, {n nykcnr.il
<br />'n
<br />6rU f(tre !d.rlecr
<br />D.r.
<br />-
<br />( drftr"r-
<br />co!$tlcuox.rlaDllc-dcrNt1
<br />I h.Fby llfrnt udLr lrEhy ot o.rury rh! h.n ! t conielur ldlry .3.8y tu r& Fnrru! oa tlr *qt 6r riih thn FEr !
<br />L*xJ (S( lrlJr, Ctr C'.
<br />ATILICAdLIECUAAIrcN
<br />I hdd'y rtrmr uld Frtlry of p.rju.y or of rtE foll,uot &.hi(ionr:
<br />D.nDliri,n P.rmirlAsh.nor Nd irdi,n F.d.rrl R.guhrio* (1i1. .10, Pd6)
<br />Rqu@rt Lri( oa NdfsM
<br />I ldlly rh! rlE f.d.EI F3!LrEB E8drnt BtB(x Emr.l ft n{ qnlt$L b rhn nNFi
<br />_l .4iI, rhlr I h.rc Frl rhii rpplHrio. nl d.r. rtEt rlr .bov. rnlomron n corot. t {BrE ro @nply *nh dl Crl, .,rl C@nr,
<br />inlll|u!.! r Srd.tiqrEkrll8rot idr.gcofihlri,q rn h.86,turh'MrqrtddrBof tlu! C{y&d Coltl}io dc uFrit
<br />rhov. Eflr,Ert pd,ltny rd 6Fdbd puFd.
<br />Appll..nt or A3.rl SiSEruE:- Drl.,-
<br />PrmilF Dm rprtnor_
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFEB Ground
<br />SLAB Floor
<br />SubllooriVenVl nsulation
<br />Roof Shealhing I trt.arc ,//u94 ,,2)
<br />Framinq
<br />lnsulalion/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />[\,4asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />FINAL I 2,-lr.7t./,lr',[rtl 79
<br />Cerlificate ot Occupancy
<br />Notes, Remarks, Etc.
<br />Hev. 08.07-2015
<br />Shear Wall
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